Cty. of Santa Clara v. Superior Court, No. H048486, 2022 Cal. App. LEXIS 346 (Ct. App. Apr. 26, 2022)
Doctors sued county for the unreimbursed portion of their invoices for emergency medical treatment given to participants in the county's health plan. Under the Knox-Keene Act, a health plan must reimburse noncontracting health care providers for the reasonable value of the emergency care they render to health plan participants. A provider that thinks it has been underpaid may sue a… Read More